Isolated Dorsal Thoracic Neuroenteric Cyst with Spinal Cord Compression: Case Reports in Pediatrics

Tarek Y. El Ahmadieh, Rafael Sillero, Benjamin Kafka, Salah G. Aoun, Angela V. Price

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Neuroenteric cysts are rare developmental anomalies of the central nervous system that account for approximately 0.7%–1.3% of all spinal cord lesions. The majority of spinal neuroenteric cysts are located ventral to the spinal cord. Dorsally located neuroenteric cysts are rare and are almost always associated with other spinal anomalies. Isolated dorsal spinal neuroenteric cysts, without other associated spinal anomalies, are extremely rare. These lesions can be mistaken for the more commonly encountered spinal cysts (e.g., arachnoid cysts, ependymal cysts, cystic teratomas). Case Description: We present the first pediatric case of a 9-month-old boy with an isolated dorsal thoracic neuroenteric cyst and cord compression that underwent surgical resection. The patient tolerated the procedure well and remained neurologically stable after surgery. Pathology was consistent with a neuroenteric cyst. Complete resection was not achieved at the time of surgery. In retrospect, knowing the lesion is a neuroenteric cyst, a more aggressive approach aiming for a complete surgical resection should have been undertaken. To our knowledge, only 2 adult cases of isolated dorsal spinal neuroenteric cysts have been reported in the literature. Conclusions: Neuroenteric cysts can occur dorsal to the spinal cord without any associated spinal anomalies. The gold standard treatment for neuroenteric cysts is surgical resection, and the goal of surgery is complete resection.

Original languageEnglish (US)
Pages (from-to)296-300
Number of pages5
JournalWorld Neurosurgery
Volume118
DOIs
StatePublished - Oct 1 2018

Fingerprint

Mediastinal Cyst
Spinal Cord Compression
Neural Tube Defects
Pediatrics
Spinal Cord
Cysts
Arachnoid Cysts
Teratoma
Central Nervous System

Keywords

  • Enterogenous cyst
  • Intestinoma
  • Spinal anomalies
  • Spinal cyst
  • Spinal neuroenteric cyst

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Isolated Dorsal Thoracic Neuroenteric Cyst with Spinal Cord Compression : Case Reports in Pediatrics. / El Ahmadieh, Tarek Y.; Sillero, Rafael; Kafka, Benjamin; Aoun, Salah G.; Price, Angela V.

In: World Neurosurgery, Vol. 118, 01.10.2018, p. 296-300.

Research output: Contribution to journalArticle

El Ahmadieh, Tarek Y. ; Sillero, Rafael ; Kafka, Benjamin ; Aoun, Salah G. ; Price, Angela V. / Isolated Dorsal Thoracic Neuroenteric Cyst with Spinal Cord Compression : Case Reports in Pediatrics. In: World Neurosurgery. 2018 ; Vol. 118. pp. 296-300.
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